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DETECT: Target Volume for Rectal Endoluminal Radiation Boosting

About this study

The aim of the study is to provide prospective data regarding microscopic tumor spread in all directions from the macroscopic tumor in pathology specimens, as seen by eye, and on imaging to define the target volume for endoluminal radiation boosting in rectal cancer patients.

Condition
Rectal Cancer
Tested
Ultrasound, Rectoscopy, Scan, e.g. CT (resection specimen)
Sponsor
Maastricht Radiation Oncology

Who can join

Age
18 years and older
Sex
All sexes
Healthy volunteers
Not accepted

Inclusion 7

  • Minimum age: 18 years
  • Study condition: Rectal Cancer
  • ≥18 years of age and capable of giving informed consent.
  • ycT1-3N0(\*) residual(\*\*) histology confirmed rectal adenocarcinoma after neoadjuvant radiotherapy or long-course chemoradiotherapy for which patients will undergo TME surgery.
  • Minimal interval between end of neoadjuvant chemoradiotherapy or radiotherapy: 6 weeks.
  • (\*)= as determined by clinical assessment (digital rectal examination, endoscopy with or without biopsy) and/or MRI. Biopsy/histology around the time of diagnosis is adequate; no biopsy/histology is needed after neoadjuvant therapy.
  • (\*\*)= including tumor regrowths/local recurrence after an initial clinical complete response and a "watch and wait" approach. These patients will also be included after the local recurrence has been determined using endoscopy and/or MRI.

Exclusion 5

  • Patient has received brachytherapy as part of neoadjuvant treatment.
  • \<18 years of age or incapable of giving informed consent.
  • Patient has not been treated with neoadjuvant radiotherapy or long-course chemoradiotherapy.
  • Patient will not undergo TME surgery for a ycT1-3N0 residual histology confirmed rectal adenocarcinoma.
  • Interval between end of neoadjuvant therapy and surgery is \<6 weeks.

Where

3 sites, 3 recruiting

Catharina Hospital

Eindhoven, North Brabant, Netherlands

Recruiting

Maastro

Maastricht, Limburg, Netherlands

Recruiting

Maastricht University Medical Center

Maastricht, Limburg, Netherlands

Recruiting

Contact

Potential match only. Final eligibility is determined by the study team.